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Section 1 - Definitions - Section 1. In this chapter the following words shall have...
Section 2 - Incorporators; Formation; Articles of Organization; Certification - Section 2. For the purpose of establishing, maintaining and operating...
Section 3 - By-Laws; Joint Service Contracts; Preferred Provider Arrangements - Section 3. The by-laws of a medical service corporation may...
Section 3a - Contracts of Reinsurance - Section 3A. Any corporation subject to this chapter may make...
Section 3b - Group Medical Service Agreements; Contribution Percentages - Section 3B. A medical service corporation organized under this chapter...
Section 4 - Contracts for Medical, Chiropractic, Visual, Surgical, and Other Health Services; Approval, Subscription Certificates; Classification of Risks - Section 4. Any medical service corporation may enter into contracts...
Section 4a - Mental Illness Expenses; Inclusion as Benefits; Biologically-Based Mental Disorders; Rape-Related Mental Disorders; Non-Biologically-Based Mental Disorders of Children and Adolescents Under Age 19 - Section 4A. (a) A subscription certificate under an individual or...
Section 4c - Dependent Coverage for Newborn Infants or Adoptive Children; Inclusion of Medical Expenses as Benefits - Section 4C. Any subscription certificate, which provides for dependent coverage,...
Section 4d - Refusal to Contract With Blind or Deaf Persons; Prohibition - Section 4D. No corporation subject to this chapter shall refuse...
Section 4e - Diethylstilbestrol Exposure; Discrimination - Section 4E. No subscription certificate under an individual or group...
Section 4f - Cardiac Rehabilitation Expense Benefits - Section 4F. Any subscription certificate under an individual or group...
Section 4g - Certified Nurse Midwife Services Benefits - Section 4G. Any subscription certificate under an individual or group...
Section 4h - Prenatal, Childbirth and Postpartum Care Benefits; Minimum Coverage for In-Patient Care - Section 4H. Any subscription certificate under an individual or group...
Section 4i - Cytologic Screening and Mammographic Examination Benefits - Section 4I. Any subscription certificate under an individual or group...
Section 4j - Infertility Diagnosis and Treatment Benefits - Section 4J. Any subscription certificate under an individual or group...
Section 4k - Nonprescription Enteral Formulas for Home Use - Section 4K. Any subscription certificate under an individual or group...
Section 4l - Chiropractic Services Benefits - Section 4L. Any subscription certificate under an individual or group...
Section 4m - Standardized Claim Form - Section 4M. The commissioner of insurance is hereby directed to...
Section 4n - Off-Label Drug Use; Cancer - Section 4N. Any subscription certificate under an individual or group...
Section 4o - Medical Service Agreement Coverage for Bone Marrow Transplants - Section 4O. Any subscription certificate under an individual or group...
Section 4p - Off-Label Use of Prescription Drugs for HIV/AIDS Treatment - Section 4P. Any subscription certificate under individual or group medical...
Section 4q - Coverage for Licensed Hospice Services - Section 4Q. Any subscription certificate under an individual or group...
Section 4r - Scalp Hair Prostheses Necessary Due to Cancer or Leukemia Treatment - Section 4R. (a) For the purposes of this section, the...
Section 4s - Items Medically Necessary for Diagnosis and Treatment of Diabetes - Section 4S. A subscription certificate under an individual or group...
Section 4t - Subscription Certificate Benefits for Services Rendered by a Nurse Anesthetist or Nurse Practitioner - Section 4T. Any subscription certificate under an individual or group...
Section 4u - Emergency Services Provided to Insureds for Emergency Medical Conditions - Section 4U. (a) As used in this section, the following...
Section 4v - Coverage for Human Leukocyte or Histocompatibility Locus Antigen Testing - Section 4V. Any subscription certificate under an individual or group...
Section 4w - Outpatient Services; Hormone Replacement Therapy for Peri and Post Menopausal Women; Contraceptive Services; Approved Prescription Contraceptive Drugs or Devises; Exception - Section 4W. (a) Any subscription certificate under an individual or...
Section 4x - Coverage for Patient Care Services Provided Under Qualified Clinical Trials - Section 4X. Any subscription certificate under an individual or group...
Section 4y - Coverage for Speech, Hearing and Language Disorders - Section 4Y. Any subscription certificate under an individual or group...
Section 4aa - Coverage for Prosthetic Devices and Repairs - Section 4AA. (a) Any subscription certificate under an individual or...
Section 4bb - Coverage for Eligible Dependents Under 26 Years of Age - Section 4BB. Any subscription certificate under an individual or group...
Section 4cc - Coverage for Medically Necessary Hypodermic Syringes or Needles - Section 4CC. No subscription certificate under an individual or group...
Section 4dd - Coverage for Diagnosis and Treatment of Autism Spectrum Disorder - Section 4DD. (a) As used in this section the following...
Section 4ee - Coverage for Children 21 Years of Age or Younger for Hearing AIDS and Related Services - [Text of section added by 2012, 233, Sec. 4. See...
Section 4ff - Coverage for Orally Administered Anticancer Medications - Section 4FF. Any subscription certificate under an individual or group...
Section 4gg - Coverage for Abuse Deterrent Opioid Drug Products - Section 4GG. Any subscription certificate under an individual or group...
Section 4hh - Preauthorization for Substance Abuse Treatment Not to Be Required - Section 4HH. For the purposes of this section the term...
Section 4ii - Coverage for Medically Necessary Acute Treatment or Clinical Stabilization Services - Section 4II. For the purposes of this section the following...
Section 4jj - Coverage for Long-Term Antibiotic Therapy for Patients With Lyme Disease - [ Text of section added by 2016, 183, Sec. 3...
Section 4kk - Coverage for Medical or Drug Treatments to Correct or Repair Disturbances of Body Composition Caused by HIV Associated Lipodystrophy Syndrome - Section 4KK. Any subscription certificate under an individual or group...
Section 4ll - Filling of Remaining Portion of Prescription for Covered Drug That Is a Narcotic Substance Earlier Filled in Lesser Quantity - Section 4LL. Any subscription certificate under an individual or group...
Section 4mm - Pain Management Access Plans - Section 4MM. (a) Any subscription certificate under an individual or...
Section 4nn - Coverage for Tobacco Use Cessation Counseling and Tobacco Cessation Products - Section 4NN. (a) Any subscription certificate under an individual or...
Section 4oo - Coverage for Treatment of Pediatric Autoimmune Neuropsychiatric Disorders Associated With Streptococcal Infections and Pediatric Acute-Onset Neuropsychiatric Syndrome - [Text of section applicable to contracts that take effect or...
Section 4pp - Coverage for Long-Term Antibiotic Therapy for Lyme Disease; Experimental Drugs - [ Text of section added by 2021, 29, Sec. 24...
Section 4qq - Coverage for Prescription Eye Drops - [ Text of section added by 2021, 29, Sec. 24...
Section 5 - Subscribers; Qualifications, Misrepresentation; Open Enrollment Periods - Section 5. Any person residing in the commonwealth shall have...
Section 5a - Discrimination Against Abuse Victims in Terms of Medical Service Plans - Section 5A. No corporation subject to this chapter, and no...
Section 5b - Medical Service Plans; Genetic Tests; Discrimination Based on Genetic Information - Section 5B. For the purposes of this section the following...
Section 6 - Subscription Certificate; Issuance; Content - Section 6. No subscription certificate shall be issued unless it...
Section 6a - Limited Extension of Benefits - Section 6A. Whenever a subscriber of a group non-profit medical...
Section 6b - Divorced or Separated Spouses; Continuation of Eligibility for Benefits - Section 6B. (a) In the event of the granting of...
Section 7 - Contracts Between Corporation and Care Providers - Section 7. Every registered physician, chiropractor and nurse midwife shall...
Section 7a - Medicare Supplemental Group Coverage; Eligibility Due to Age or Disability - Section 7A. Any person who is eligible for Medicare coverage...
Section 7b - Medicare Supplemental Group Coverage; Medical Assistance Recipients - Section 7B. A medical service corporation governed by this chapter...
Section 7c - Retroactive Premium Rate Increase - Section 7C. For purposes of this section, retroactive premium rate...
Section 7d - Retroactive Claims Denial for Behavioral Health Services - Section 7D. (a) For the purposes of this section, the...
Section 8 - Annual Statement; Verification, Form, Violations - Section 8. Every medical service corporation shall annually, on or...
Section 8a - Financial Statements; Inclusion of Electronic Data Processing Equipment as Asset - Section 8A. In an account of its financial condition, a...
Section 8b - Applicability of Chapter 176v to Medical Service Corporations Governed by This Chapter - Section 8B. Notwithstanding any general or special law to the...
Section 8c - Applicability of Chapter 176w to Medical Service Corporations Governed by This Chapter - Section 8C. Notwithstanding any general or special law to the...
Section 9 - Inspection and Examination of Affairs of Corporation; Confidentiality and Privilege; Inability to Pay Providers; Pro Rata Payments; Termination of Contract - Section 9. The commissioner, or any deputy examiner or any...
Section 10 - Investments, Sales, Loans and Places of Deposit; Approval; Acquisition of Real Estate; Leases; Tax Exemption; Limit; Special Contingent Surplus - Section 10. No investment, sale or loan shall be made...
Section 11 - Salaries, Compensation or Emoluments - Section 11. No medical service corporation shall pay any salary,...
Section 12 - Submission of Disputes or Controversies to Board; Privacy of Patient Information - Section 12. Any dispute or controversy arising between a medical...
Section 13 - Grounds for Enjoining Transaction of Business; Receivers - Section 13. If the commissioner is satisfied, as to any...
Section 14 - Liability of Corporation; Exemption From Insurance Laws; Tax Exemption - Section 14. Every medical service corporation is hereby declared to...
Section 16 - Operators of Medical Service Plan - Section 16. It shall be unlawful for any person, firm,...
Section 16a - Payroll Deductions of Governmental Employees - Section 16A. The pertinent provisions of section one hundred and...
Section 17 - Enforcement - Section 17. The provisions of this chapter may be enforced...
Section 18 - Contracts for Administrative or Other Services; Loans and Investments - Section 18. Any medical service corporation may contract with any...
Section 19 - Payment of Sums Owed Subscriber's Estate - Section 19. A medical service corporation which, upon the death...
Section 20 - Disclosure of Information; Mental or Nervous Condition - Section 20. No medical service corporation may, without the express...
Section 21 - Insolvency of Health Maintenance Organization; Replacement Coverage - Section 21. (a) For purposes of this section, the following...
Section 22 - Statement Provided to Individuals Provided With Creditable Coverage; Report - Section 22. Pursuant to section 8B of chapter 62C, any...
Section 23 - Attribution of Members to a Primary Care Provider - Section 23. To the maximum extent possible, every medical service...
Section 24 - Disclosure of Patient-Level Data and Contracted Prices of Individual Health Care Services by Carriers to Providers - Section 24. To the extent permissible under applicable state and...
Section 25 - Coverage for Health Care Services Delivered via Telehealth by a Contracted Health Care Provider - Section 25. (a) For the purposes of this section, the...